The most common dysfunctions of the ejaculatory process seen in primary care are ejaculation prior to the time desired by the patient and/or his partner (premature or rapid ejaculation), painful ejaculation (dysorgasmia), absence of ejaculation (anejaculation), blood with ejaculation (hematospermia), and retrograde ejaculation (usually postsurgical or associated with alpha-blocker treatment for benign prostatic hypertrophy). Of these, premature ejaculation (pEJ) is by far the most prevalent, affecting as many as 39% of men in the general community.1
Nonetheless, men are often reluctant to acknowledge the presence of pEJ, no pharmacotherapeutic agent has yet been FDA-approved for its treatment, and the education of primary care clinicians about ejaculatory dysfunctions has often been scanty. Because pEJ may cause distress for the patient and/or his partner, and clinical trials have demonstrated the efficacy of a variety of remedies, clinicians may wish to familiarize themselves with the appropriate diagnosis and management skills necessary for successfully addressing this problem.
DEFINITION Defining pEJ has been difficult for investigators because of a lack of adequate population-based data to establish normative boundaries for either the duration of intravaginal intercourse or number of thrusts until ejaculation. Similarly, quantifying what constitutes appropriate maintenance of erection prior to ejaculation from the vantage point of partner satisfaction has been elusive.
The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) has defined pEJ as "persistent or recurrent ejaculation with minimal sexual stimulation before, upon, or shortly after penetration and before the person wishes it."2 While this definition probably accurately describes most men who suffer from pEJ, it lacks finite boundaries that might make case definition simpler for clinicians.
Furthermore, all definitions of pEJ should contain some notion of "bother," since if the patient or his partner is not bothered by the duration of intercourse, no treatment is required regardless of the brevity of the experience. For the discussion that follows, we consider any of the 3 following operational descriptors, as a complement to the DSM-IV definition, adequate for the functional delineation of pEJ:
A consistent experience of unwanted inability to delay ejaculation beyond 2 to 3 minutes of intromission
A consistent experience of ejaculation prior to 7 minutes of intromission that is problematic for the patient or partner satisfaction
A 50% or greater decrease in the amount of time to ejaculation compared with a previously established long-term pattern of sexual experience, which might also be labeled secondary pEJ.
The vast majority of patients with pEJ will be described by one or more of these criteria. Because pEJ may affect heterosexual or same-sex encounters, no terminology involving vaginal intromission is used, although readers should be aware that a good deal of the literature about pEJ uses intravaginal latency as a metric.
The rationale behind the first descriptor is the fact that, despite the lack of adequate normative population data, an average duration of intercourse of 4 to 7 minutes has been reported, leading to the consideration that duration substantially less than this, if unwanted, should clearly qualify as pEJ. Similar issues confirm the utility of the second descriptor, so that when intercourse lasts less than 7 minutes, if the patient finds this duration insufficient, consideration may be given to offering treatment. Lastly, pEJ may become problematic when a patient reports a departure from his usual experience of ejaculatory timing. For instance, patients with prostatitis may report changes in ejaculatory latency, with a trend toward earlier ejaculation, difficulty maintaining an erection, or both. Although typically a transient phenomenon, opioid withdrawal has also been associated with pEJ.3
YES, BUT WHY BOTHER? According the one survey, pEJ is epidemiologically the most common sexual dysfunction reported by American men, with an overall prevalence of 29%.4 Yet, although pEJ has not been a common presenting complaint in primary care, men and/or their partners may be quite distressed by it. Perceptions of the problem on the part of both patients and clinicians tend to preclude disease identification and treatment. Patients often do not complain about pEJ because they are embarrassed by the condition, there is minimal public awareness that pEJ is a legitimate health issue, and there is also a lack of insight that safe, effective treatments are available. Clinicians may not be familiar with an appropriate mode of inquiry, may have had scant guidance on pharmacotherapeutic management, and, despite the burden of distress that the disorder may cause to patients, may perceive pEJ as a low-priority disorder.
There is reason to be optimistic about pEJ management. Men who were dissatisfied with prior treatments may find newly discovered interventions more attractive. The widespread public awareness of the role of phosphodiesterase-5 (PDE-5) inhibitors in erectile dysfunction (ED) may facilitate disclosure of other sexual dysfunctions to the clinician. ED has increasingly moved into the bailiwick of primary care clinicians, so the opportunity for discussion of various sexual dysfunctions has also increased. Finally, with pharmacotherapy and/or counseling, most patients will find a satisfactory degree of pEJ improvement or resolution.
The epidemiologic patterns of pEJ are surprising to some clinicians. The disorder is most common between ages 20 to 40 years (average age, 33.1), and cases are fairly evenly distributed between primary (lifelong) and secondary disease (occurring after an established period of normal ejaculatory function). In men older than age 40 years, primary pEJ becomes the dominant category.5
DIAGNOSIS Primary care clinicians tend to prioritize the line of inquiry during a patient visit by disease-state hierarchy, so that cardiovascular disease, hypertension, and diabetes often obtain first notice and follow-up. Quality of life issues such as pEJ may be significantly problematic for patients or their partners and deserve our attention if they are a priority for the patient. Because clinical inquiry into sexual function has been relatively uncommon in the recent past, it is usually incumbent on the clinician to initiate the dialogue.
The diagnosis of pEJ occurs via the history; appropriate laboratory tests and physical examination rule out secondary causes. Clinicians need to be explicit in their inquiry if meaningful information is to be obtained. A variety of appropriate questions may help initiate discussion of sexual matters. Here is an example of the universal-to-specific shepherding technique: "Mr Anderson, many men who take SSRIs notice changes in their ejaculation. Has this been a problem for you?"
Some clinicians, however, consider inquiry about sexual function to be one of the vital signs of lifestyle, hence this approach: "Mr Anderson, I would like to ask you some personal questions at this point, and of course we can leave out any questions that make you uncomfortable or that you do not wish to answer. Are you having any difficulties with sexual function? Specifically, do you experience any problems with the duration of intercourse or orgasm?"
The key issues that need to be elucidated regarding ejaculatory function include time to ejaculation, whether time to ejaculation is within the patient's control, and whether the ejaculatory experience causes the patient (or his partner) distress.5 The following questions are appropriate, revolve around these issues, and also target possible causes:
Typically, how long does sexual activity last before orgasm?
Is this a change from your prior experience?
Is the duration of intercourse you are experiencing a problem for you or your partner(s)?
If duration of intercourse is problematic, what strategies have you tried to remedy the situation?
Have there been any emotional or psychological stressors that occurred around the time you first noticed the changes in your sexual function?
Are there any medications, herbs, vitamins, or other substances that you started taking around the time you noticed changes in your ejaculatory function?
ETIOLOGY When pEJ is associated with a medication, a noteworthy psychological stress, or physical trauma, little further investigation for culpable sources is necessary. Unfortunately, the cause is commonly unknown and, in many cases, may be a combination of biologic and psychological factors.
Supporting the role of serotonin in ejaculatory function is the consistent impact of delayed ejaculation in men who receive selective serotonin reuptake inhibitors (SSRIs) for depression. Much of the other data ascribing pEJ to various neurologic or hormonal factors is based on rat studies, without convincing confirmation in humans. Data from the 1970s by Masters and Johnson reported simple counseling techniques for pEJ had success rates as high as 97%, a statistic which would lend credence to the dominantly psychogenic components of the etiology. Recently, these early data have been criticized because of lack of placebo controls, small data sets, and insufficient replication. Hypogonadism has rarely been associated with pEJ, but correction of hypogonadism with anastrozole did not improve pEJ.6
TREATMENT The goal of treatment for pEJ is to delay ejaculation sufficiently to relieve the distress experienced by the patient or his partner. Available methods include behavioral therapy, counseling, sexual stimulation techniques, pharmacotherapy (topical and systemic), and mechanical therapies such as vacuum pumps and penile constriction rings.
Counseling Since pEJ is very often solely psychogenic, counseling is an appropriate tool that is usually provided by sex therapists. Clinicians may also be able to provide simple instructions about distraction techniques, Kegel exercises, and stop-start vaginal intromission methods that will allow the patient to develop a sense of ejaculatory control. The usefulness of such interventions is largely unknown, but anecdotal reports suggest some efficacy.
Physical maneuvers include the squeeze technique and penile constriction devices. For the squeeze technique, the patient and his partner are instructed that when the patient feels a sensation of ejaculatory imminence, he should withdraw his penis and his partner should provide a firm squeeze (2-3 seconds) at the base of the glans penis. Often, this withdrawal from vaginal stimulation, cessation of thrusting, and contrasexual stimulus will produce a sufficient deescalation of ejaculatory imminence to allow the couple to resume intercourse a few seconds later.
Men who use a vacuum constriction device will be familiar with the incorporation of a constricting band (constriction ring) to maintain penile turgidity during intercourse. Even after ejaculation, the presence of a constriction band at the base of the penis will maintain turgidity sufficient for vaginal penetration and continued vaginal thrusting in most patients. Once the patient has a constriction device on the base of his penis and knows that the erection will be maintained even after ejaculation, ejaculatory anxiety is reduced, and the subsequent reduction in sympathetic tone may be useful in extending vaginal latency. A popular adjustable constriction ring has the brand name Actis. Penile constriction rings are very inexpensive and may be used many times before they need to be replaced.
Patients may consider wearing one or more condoms to reduce penile glans sensitivity. Topical agents that reduce glans sensitivity are also effective, but the practicality of these agents is limited by the need to wash them off after intercourse and to use barrier methods to prevent topical application on the partner.
Pharmacotherapy In the authors' experience, most patients who present with pEJ want pharmacotherapy. Most of the experience with neurohumoral modulation has been obtained with various SSRIs or with tricyclic antidepressants (TCAs), particularly clomipramine. Consonant with the literature that pEJ may be accompanied by a reduction in serotoninergic neurotransmission,7 the most common medications used for pEJ are SSRIs.
Widespread use of SSRIs for depression soon led to the observation that SSRIs could cause ejaculatory delay, or even anejaculation, in men without prior ejaculatory dysfunction. It was a logical next step to study these agents in men with pEJ.8 Adding credence to the serotonin-modulation theory of ejaculatory dysfunction, withdrawal of citalopram has been associated with pEJ.9 A variety of SSRIs have been studied for pEJ, most of them producing favorable effects for prolonging ejaculatory latency. Even though the data on clomipramine, a TCA indicated for obsessive-compulsive disorder, appear to be equally favorable, the adverse-effect profile of TCAs may limit their use.
Three primary methods of drug administration have proved to be efficacious: medication on demand (within hours of anticipated intercourse), maintenance medication (such as a daily regimen), or sequential medication (a course of daily medication for 4-6 weeks, followed by medication on demand). All the SSRIs studied so far have had some favorable effects, but comparison studies indicate that paroxetine may be the most effective.10 With maintenance therapy, patients can generally anticipate a 3- to 10-fold increase in ejaculatory latency time. Consequently, men who have not been able to delay ejaculation beyond 30 seconds to 1 minute might be able to enjoy prolongation of intercourse for 1.5 to 7 minutes. Note that, for all the agents studied to date, pEJ is an off-label indication.
Because paroxetine has been demonstrated to have the most pronounced effect on ejaculatory latency, it may be considered as a drug of choice, with therapy initiated at 20 mg/d. Failure to respond within 4 weeks of daily medication (titrated to 40 mg/d of paroxetine—or 100 mg/d of sertraline, 40 mg/d of fluoxetine, or 50 mg/d of clomipramine) should prompt consideration of another method of treatment.11 Although higher dosages of SSRIs and TCAs may produce greater prolongation of ejaculatory latency, side effects may also increase incrementally. Since some patients will prefer one SSRI over another, or the metabolic effects of some SSRIs may be problematic (for example, paroxetine and fluoxetine are very potent cytochrome P-450IID6 inhibitors), clinicians may consider sertraline, which lacks significant cytochrome P-450 interactions and is associated with less sedation than paroxetine.
Rather than adhering to a daily regimen, patients may wish to try on-demand medication. Although scant data support this use, clomipramine, 25 to 50 mg administered within 4 to 6 hours of intercourse, has shown some efficacy for pEJ, with a duration of up to 15 hours.11 Initial data suggest that sildenafil may be an effective treatment for pEJ in some men. One comparison trial of patients with lifelong pEJ that evaluated SSRIs, clomipramine, sildenafil, and the squeeze technique found sildenafil to be the most efficacious, but because this study had no placebo control and showed other methodologic limitations, the results must be considered preliminary.1,12
The effectiveness of combination pharmacotherapy is supported by limited, but promising, data. A prospective study of 80 patients compared combination therapy with a regimen of paroxetine (10 mg/d for 21 d, followed by 20 mg/d on demand) with or without sildenafil. Combination therapy was more effective: Monotherapy increased mean ejaculatory latency time from 0.33 minutes (baseline) to 4.2 minutes at 6 months, whereas combination therapy improved ejaculatory latency from 0.35 minutes (baseline) to 5.3 minutes at 6 months and was associated with greater intercourse satisfaction.13
Because some men will continue to use SSRIs for pEJ treatment on a long-term basis, it is appropriate to address medication safety with them. Like all pharmacotherapeutic agents, SSRIs may have problematic adverse effects. There is now also clearer recognition that there may be a population of individuals for whom SSRIs may transiently accentuate the risk of suicide or suicidal ideation. Hence, prior to initiating a program of sustained SSRI treatment, the clinician should be aware of the patient's status for depression and suicidal ideation, and inform him of this risk.
Topical treatment Topical anesthetics can improve ejaculatory latency time by reducing penile sensitivity, but excessive topical anesthesia can prevent erection due to lack of sensory input. In addition, unless a barrier method is used in conjunction with topical agents, application to the sexual partner may concomitantly reduce the partner's cutaneous sensitivity.
Examples of topical agents found to improve intravaginal ejaculatory latency time in randomized placebo-controlled trials include lidocaine 2%, and lidocaine 2.5%/prilocaine cream 2.5%.Data suggest that such agents may be applied 10 to 30 minutes before intercourse.
Wednesday, January 31, 2007
Sunday, January 28, 2007
Secret Men Health Issues
Penis enlargement surgery has become much more common today than in the previous decades. One reason for this might be the effectiveness of the surgery, and the quickness of the results. Certainly, surgery is the most obvious method to bring about both – penile enlargement as well as enhancement – though it is also the most expensive process.
There are many aspects to consider being going in for a penis surgery. First and foremost, you must be perfectly sure that surgery will correct your problem, or give you the look that you desire. For this, you must approach a qualified surgeon who specializes in penile surgeries. Ask him what you must expect after the surgery.
Penile surgery can achieve three important things for you: penis enlargement, penis enhancement and correction of penis curves. It is necessary to discuss with the surgeon beforehand what purpose you aim to achieve. It is better to spend some time before the surgery in discussing the issue rather than having to waste precious time and money later in corrective surgeries.
In this article we shall discuss mainly the surgeries done for penis enlargement. Penis enlargement surgery is the surgical increase in the size – both length and girth – of the penis. It is a mostly cosmetic surgery, since any normal male penis is enough for penetrative sex. However, in some men with congenital defects, there may be a micropenis, which could be corrected through a penis enlargement surgery.
Now let us see some of the penis enlargement surgeries that are in vogue today. One of the most popularly used surgical methods is to slice the corpus cavernosa of the penis, which is the spongy tissue that makes the main bulk of the penis. When the spongy tissue is sliced, it hangs down and hence gives the impression of a longer penis. Similar type of slicing can be done to increase the apparent girth of the penis. In such a surgery, the advantage is that there is no outward sign of a surgery, and there are no implants inside the penis. This is the most natural type of surgery. Also, men who have undergone slicing surgery claim that they feel no loss of sexual arousals.
Another penis enlargement surgery is the penis implants. As the name suggests, this method uses implants into the penis, along the corpus cavernosa lining. Naturally, this adds girth and length both to the penis. Today silicone is no longer used as the implanting material, due to its potential carcinogenic risks. Saline implants are preferred. In penises with implants, erection is achieved by means of a pump which has controls in the groin area. When an erection is wanted, the man is supposed to press the groin area.
There are many contentions against penile implants. First and foremost, it is a very artificial method of sexual functioning. The act of pressing a pump for getting erection makes sexual intercourse quite frustrating for both the partners, not to mention the embarrassment it causes to the male. Also, there is a loss of sexual touch, since the implants are artificial. However, penile implants are a boon to men who suffer from erectile dysfunction. Apart from the penis enlargement, they can get substantial erections also. The bulk of the customers going in for penile implants are diabetics and men suffering from other such impotence problems.
Penis injections are also very popular methods due to their simplicity and fast action. These injections are usually of silicone and are given directly into the corpus cavernosa. The bulk of the penis increases mostly in girth and not much in length. In fact, penile injections are so effective that there can be a nine-fold increase in the thickness of the penis. Hence, the dosage of the injections must be carefully thought of earlier.
Penis injections are very quick acting, and they bring about superlative increase in the size of the penis. Needless to say, this is the method adopted by male porn actors. But there are some drawbacks. Men who have taken penis injections claim that the sheer bulk of the penis makes penetrative sex difficult. Also, there is much loss of sensation due to the presence of an artificial element into the penis.
The use of silicone has come under fire here also. Nowadays, surgeons are using safer materials such as KY Jelly for penis injections. Though penis injections are very quick to show their results, their results do not last for a long time, so repeated injections might be necessary.
As a last word, there are many precautions to be taken during penis surgeries. It is not advisable to go for a very large increase in the size of the penis as it could make things quite difficult for the man. Also, the surgery must always be done through an experienced and qualified surgeon. If there is any mistake during the surgery, there could be scarring, hemorrhage and even permanent disfigurement of the penis.
Source: http://www.mysecrethealth.com
There are many aspects to consider being going in for a penis surgery. First and foremost, you must be perfectly sure that surgery will correct your problem, or give you the look that you desire. For this, you must approach a qualified surgeon who specializes in penile surgeries. Ask him what you must expect after the surgery.
Penile surgery can achieve three important things for you: penis enlargement, penis enhancement and correction of penis curves. It is necessary to discuss with the surgeon beforehand what purpose you aim to achieve. It is better to spend some time before the surgery in discussing the issue rather than having to waste precious time and money later in corrective surgeries.
In this article we shall discuss mainly the surgeries done for penis enlargement. Penis enlargement surgery is the surgical increase in the size – both length and girth – of the penis. It is a mostly cosmetic surgery, since any normal male penis is enough for penetrative sex. However, in some men with congenital defects, there may be a micropenis, which could be corrected through a penis enlargement surgery.
Now let us see some of the penis enlargement surgeries that are in vogue today. One of the most popularly used surgical methods is to slice the corpus cavernosa of the penis, which is the spongy tissue that makes the main bulk of the penis. When the spongy tissue is sliced, it hangs down and hence gives the impression of a longer penis. Similar type of slicing can be done to increase the apparent girth of the penis. In such a surgery, the advantage is that there is no outward sign of a surgery, and there are no implants inside the penis. This is the most natural type of surgery. Also, men who have undergone slicing surgery claim that they feel no loss of sexual arousals.
Another penis enlargement surgery is the penis implants. As the name suggests, this method uses implants into the penis, along the corpus cavernosa lining. Naturally, this adds girth and length both to the penis. Today silicone is no longer used as the implanting material, due to its potential carcinogenic risks. Saline implants are preferred. In penises with implants, erection is achieved by means of a pump which has controls in the groin area. When an erection is wanted, the man is supposed to press the groin area.
There are many contentions against penile implants. First and foremost, it is a very artificial method of sexual functioning. The act of pressing a pump for getting erection makes sexual intercourse quite frustrating for both the partners, not to mention the embarrassment it causes to the male. Also, there is a loss of sexual touch, since the implants are artificial. However, penile implants are a boon to men who suffer from erectile dysfunction. Apart from the penis enlargement, they can get substantial erections also. The bulk of the customers going in for penile implants are diabetics and men suffering from other such impotence problems.
Penis injections are also very popular methods due to their simplicity and fast action. These injections are usually of silicone and are given directly into the corpus cavernosa. The bulk of the penis increases mostly in girth and not much in length. In fact, penile injections are so effective that there can be a nine-fold increase in the thickness of the penis. Hence, the dosage of the injections must be carefully thought of earlier.
Penis injections are very quick acting, and they bring about superlative increase in the size of the penis. Needless to say, this is the method adopted by male porn actors. But there are some drawbacks. Men who have taken penis injections claim that the sheer bulk of the penis makes penetrative sex difficult. Also, there is much loss of sensation due to the presence of an artificial element into the penis.
The use of silicone has come under fire here also. Nowadays, surgeons are using safer materials such as KY Jelly for penis injections. Though penis injections are very quick to show their results, their results do not last for a long time, so repeated injections might be necessary.
As a last word, there are many precautions to be taken during penis surgeries. It is not advisable to go for a very large increase in the size of the penis as it could make things quite difficult for the man. Also, the surgery must always be done through an experienced and qualified surgeon. If there is any mistake during the surgery, there could be scarring, hemorrhage and even permanent disfigurement of the penis.
Source: http://www.mysecrethealth.com
Saturday, January 27, 2007
Iron in Men
Introduction
From medieval European legends of "Iron John" to American cartoons of Popeye, to the notion of getting stronger by "pumping iron," iron has always been associated with strength and vitality. However, recent research suggests that iron should be more properly associated with the nation's top two killer diseases: cancer and heart disease.
While iron is a necessary nutrient, it is needed only in small amounts. When too much iron is absorbed from the diet, it can cause a wide variety of health problems. High levels of iron are associated with an increased risk for cancer, heart disease, and other illnesses such as endocrine problems, arthritis, diabetes, and liver disease.1
Men absorb iron from the food that they eat, and once this iron is in the body it has essentially no way to get out. Women also absorb iron, however they are generally-though not completely- protected from excess iron accumulation through regular iron loss by way of menstrual blood (they lose this benefit after menopause).2 Because of the health risks associated with high levels of body iron, all men should consider having their iron levels tested.3 If the test results indicate that iron levels are too high, specific treatments and lifestyle modifications may be used to lower body iron stores to more healthy levels.
Excess Iron and Cancer
Iron acts as a cancer-promoting agent by two separate yet synergistic mechanisms: 1) by producing "free radicals," and 2) by feeding cancer cells. Iron increases the production of free radicals, and-in fact-the production of free radicals is largely proportionate to the level of iron.4 This means that the more iron there is in the body, the more free radicals will be produced and thus the greater the risk of disease, in this case, cancer. Free radicals are oxygen-containing molecules which damage (oxidize) the DNA of cells. Since DNA controls the activities of the cell, once the DNA is damaged, the cell becomes "out of control." Essentially, all cancer cells are out of control. These cancer cells then replicate and grow rapidly and eventually infiltrate and damage the body's organs. Additionally, cancer cells consume many nutrients and thereby starve the host. One of the nutrients cancer cells need most is iron. In fact, researchers now think that iron may be a "rate-limiting" nutrient for cancer cell growth.5 This means that the more iron that is available, the more the cancer cells will divide and flourish, and the better chance they have of killing the host. Recent research has shown that people with high levels of iron have an increased risk for cancer.5, 6
Excess Iron and Heart Attacks
The free radicals which are produced by iron can promote the development of heart disease. Free radicals can damage (oxidize) cholesterol in the blood. When cholesterol has been oxidized, it is much more likely to "get stuck" in the arteries and blood vessels in the body and especially in the arteries that deliver nutrients and oxygen to the heart. When too much of this cholesterol becomes stuck in the arteries, it makes the inside of the artery smaller, and less blood can get to the heart muscle. Eventually, the blood flow may become so reduced that the heart cannot receive enough oxygen and nutrients, and some of the "starved" heart tissue may die-this is called a heart attack. Heart attacks are one of the leading killers of people in this country and are a very common cause of death in men. Men who have high levels of iron are at an increased risk for heart attack.7
All men should have their iron levels tested.
The only practical way to determine how much iron a person has in his body is to use blood tests called "serum ferritin" and "transferrin saturation." These tests can provide a fairly accurate estimate of the amount of iron in the body. However, either one of these tests could be normal even if a person has severe excess iron accumulation, so it is very important that both tests be performed. Also, no food should be eaten for 8-12 hours before having the test performed; this will help to ensure accurate test results. If you have these tests performed, your doctor should be able to help you understand your test results and to give you specific advice for your particular situation. These tests must be performed if unhealthy iron levels are to be detected. Given that iron accumulation disorders are very common in men, all men should have their iron levels tested.3 Indeed, everyone-men and women-should be screened for iron disorders.8
"If excess iron is such an important health issue for men, then why hasn't my doctor already told me about it and why hasn't my doctor already performed these tests on me? When should I have these tests done?"
The negative effects of excess iron have only been recognized within the past few years. No doctor can stay informed of every important advance in clinical information. Thousands of important articles are published every day. And although many articles on excess iron have been published recently, perhaps your doctor hasn't yet read the ones on iron overload. If you visit your doctor to have your iron status tested, you might want to take this article so that your doctor will have an opportunity to learn about the adverse effects of excess iron.
Misinformation about iron has been widely publicized for several decades. For years, we were so convinced that iron deficiency was the problem that we never thought to consider that iron overload-too much iron-might cause even more serious health problems. It is true that iron deficiency is a problem for some people, especially some pregnant women 9 and young children.10 However, adults generally do not need to eat a high-iron diet (i.e., lots of beef, liver, pork) and do not need to take iron supplements unless they have been advised to do so by a doctor for the specific treatment of iron deficiency.11
You might consider having these tests done when you have your next annual physical examination. Although excess iron is certainly an important health issue for men, you probably don't need to rush to your doctor's office right away. But, based on the present research which shows that excess iron may be hazardous to your health, if you haven't already been tested for excess iron, you may want to have your iron levels tested within the upcoming year.
Early testing and treatment for iron overload saves money and lives by preventing serious disease, 12 and doctors and public health organizations may eventually begin screening everyone for excess iron.13 But until routine screening becomes more widely implemented, you'll have to look out for yourself and become your own health advocate if you want to have these tests performed.
"How much iron is too much?"
Research by several experts on iron metabolism has suggested that iron levels which correlate with a serum ferritin value greater than 100 and a transferrin saturation value greater than 35% may be a predisposing factor for the development for cancer, heart attack, and other diseases.2, 5, 6, 14, 15
Although not all persons with excess iron develop disease, and not all persons with disease have excess iron, researchers are continually finding an association between the amount of iron in the body and the risk for disease. Since excess body iron, especially in men, can do little good and yet can do great harm, all men who want to reduce their risk of cancer and heart disease should consider reducing their levels of iron.
Reducing body iron levels with blood donation and a low-iron diet.
When laboratory tests indicate a high level of body iron, the next step toward better health is a regular program of iron removal. "Blood donation" is the only practical and effective method for the removal of excess iron.2, 6, 14, 16, 17 The rate of iron removal (i.e., the frequency of blood donation) is determined by the severity of the iron overload, and persons with severe iron overload need to receive frequent and comprehensive treatment.18 However, for men with moderate excess iron accumulation, periodic blood donation may help to reduce body iron stores to a more healthy level.2, 6, 14, 16, 17 Most healthy people can donate blood several times per year.
In addition to regularly donating blood, you may also reduce your risk of cancer and heart disease by decreasing your intake of iron from the foods that you eat. Several foods contain high amounts of iron. You may want to avoid vitamin and mineral supplements which contain iron, iron-fortified foods such as some breakfast cereals, and especially avoid beef, liver, and pork. Just about all foods contain some iron, but those with high amounts of iron (e.g., 18 milligrams of iron per serving-common in many cereals and vitamin-mineral supplements) might be best avoided.
Decreasing consumption of these foods is a good way to reduce iron intake, yet blood donation is the only effective way to remove iron that is already in the body. How fortunate that blood donation may help save the life of both the donor and the receiver.
Conclusion and Summary
Although iron accumulation can affect both men and women, men more often suffer from the harmful effects of excess iron. Iron accumulation increases the risk for cancer, heart attack, and several other diseases. For men, sources of iron such as beef, liver, pork, iron-fortified foods and iron-fortified vitamin-mineral supplements can be avoided. Everyone-men and women-should be tested for iron disorders.8 The only way to measure body iron levels is by visiting a physician and having blood tests performed. If the serum ferritin value is greater than 100 or the transferrin saturation value greater than 35%, then periodic blood donation should be considered as a way to remove excess iron and lower body iron levels. Persons with severe iron overload may need to receive more frequent and comprehensive treatment.
Source: http://www.menweb.org
From medieval European legends of "Iron John" to American cartoons of Popeye, to the notion of getting stronger by "pumping iron," iron has always been associated with strength and vitality. However, recent research suggests that iron should be more properly associated with the nation's top two killer diseases: cancer and heart disease.
While iron is a necessary nutrient, it is needed only in small amounts. When too much iron is absorbed from the diet, it can cause a wide variety of health problems. High levels of iron are associated with an increased risk for cancer, heart disease, and other illnesses such as endocrine problems, arthritis, diabetes, and liver disease.1
Men absorb iron from the food that they eat, and once this iron is in the body it has essentially no way to get out. Women also absorb iron, however they are generally-though not completely- protected from excess iron accumulation through regular iron loss by way of menstrual blood (they lose this benefit after menopause).2 Because of the health risks associated with high levels of body iron, all men should consider having their iron levels tested.3 If the test results indicate that iron levels are too high, specific treatments and lifestyle modifications may be used to lower body iron stores to more healthy levels.
Excess Iron and Cancer
Iron acts as a cancer-promoting agent by two separate yet synergistic mechanisms: 1) by producing "free radicals," and 2) by feeding cancer cells. Iron increases the production of free radicals, and-in fact-the production of free radicals is largely proportionate to the level of iron.4 This means that the more iron there is in the body, the more free radicals will be produced and thus the greater the risk of disease, in this case, cancer. Free radicals are oxygen-containing molecules which damage (oxidize) the DNA of cells. Since DNA controls the activities of the cell, once the DNA is damaged, the cell becomes "out of control." Essentially, all cancer cells are out of control. These cancer cells then replicate and grow rapidly and eventually infiltrate and damage the body's organs. Additionally, cancer cells consume many nutrients and thereby starve the host. One of the nutrients cancer cells need most is iron. In fact, researchers now think that iron may be a "rate-limiting" nutrient for cancer cell growth.5 This means that the more iron that is available, the more the cancer cells will divide and flourish, and the better chance they have of killing the host. Recent research has shown that people with high levels of iron have an increased risk for cancer.5, 6
Excess Iron and Heart Attacks
The free radicals which are produced by iron can promote the development of heart disease. Free radicals can damage (oxidize) cholesterol in the blood. When cholesterol has been oxidized, it is much more likely to "get stuck" in the arteries and blood vessels in the body and especially in the arteries that deliver nutrients and oxygen to the heart. When too much of this cholesterol becomes stuck in the arteries, it makes the inside of the artery smaller, and less blood can get to the heart muscle. Eventually, the blood flow may become so reduced that the heart cannot receive enough oxygen and nutrients, and some of the "starved" heart tissue may die-this is called a heart attack. Heart attacks are one of the leading killers of people in this country and are a very common cause of death in men. Men who have high levels of iron are at an increased risk for heart attack.7
All men should have their iron levels tested.
The only practical way to determine how much iron a person has in his body is to use blood tests called "serum ferritin" and "transferrin saturation." These tests can provide a fairly accurate estimate of the amount of iron in the body. However, either one of these tests could be normal even if a person has severe excess iron accumulation, so it is very important that both tests be performed. Also, no food should be eaten for 8-12 hours before having the test performed; this will help to ensure accurate test results. If you have these tests performed, your doctor should be able to help you understand your test results and to give you specific advice for your particular situation. These tests must be performed if unhealthy iron levels are to be detected. Given that iron accumulation disorders are very common in men, all men should have their iron levels tested.3 Indeed, everyone-men and women-should be screened for iron disorders.8
"If excess iron is such an important health issue for men, then why hasn't my doctor already told me about it and why hasn't my doctor already performed these tests on me? When should I have these tests done?"
The negative effects of excess iron have only been recognized within the past few years. No doctor can stay informed of every important advance in clinical information. Thousands of important articles are published every day. And although many articles on excess iron have been published recently, perhaps your doctor hasn't yet read the ones on iron overload. If you visit your doctor to have your iron status tested, you might want to take this article so that your doctor will have an opportunity to learn about the adverse effects of excess iron.
Misinformation about iron has been widely publicized for several decades. For years, we were so convinced that iron deficiency was the problem that we never thought to consider that iron overload-too much iron-might cause even more serious health problems. It is true that iron deficiency is a problem for some people, especially some pregnant women 9 and young children.10 However, adults generally do not need to eat a high-iron diet (i.e., lots of beef, liver, pork) and do not need to take iron supplements unless they have been advised to do so by a doctor for the specific treatment of iron deficiency.11
You might consider having these tests done when you have your next annual physical examination. Although excess iron is certainly an important health issue for men, you probably don't need to rush to your doctor's office right away. But, based on the present research which shows that excess iron may be hazardous to your health, if you haven't already been tested for excess iron, you may want to have your iron levels tested within the upcoming year.
Early testing and treatment for iron overload saves money and lives by preventing serious disease, 12 and doctors and public health organizations may eventually begin screening everyone for excess iron.13 But until routine screening becomes more widely implemented, you'll have to look out for yourself and become your own health advocate if you want to have these tests performed.
"How much iron is too much?"
Research by several experts on iron metabolism has suggested that iron levels which correlate with a serum ferritin value greater than 100 and a transferrin saturation value greater than 35% may be a predisposing factor for the development for cancer, heart attack, and other diseases.2, 5, 6, 14, 15
Although not all persons with excess iron develop disease, and not all persons with disease have excess iron, researchers are continually finding an association between the amount of iron in the body and the risk for disease. Since excess body iron, especially in men, can do little good and yet can do great harm, all men who want to reduce their risk of cancer and heart disease should consider reducing their levels of iron.
Reducing body iron levels with blood donation and a low-iron diet.
When laboratory tests indicate a high level of body iron, the next step toward better health is a regular program of iron removal. "Blood donation" is the only practical and effective method for the removal of excess iron.2, 6, 14, 16, 17 The rate of iron removal (i.e., the frequency of blood donation) is determined by the severity of the iron overload, and persons with severe iron overload need to receive frequent and comprehensive treatment.18 However, for men with moderate excess iron accumulation, periodic blood donation may help to reduce body iron stores to a more healthy level.2, 6, 14, 16, 17 Most healthy people can donate blood several times per year.
In addition to regularly donating blood, you may also reduce your risk of cancer and heart disease by decreasing your intake of iron from the foods that you eat. Several foods contain high amounts of iron. You may want to avoid vitamin and mineral supplements which contain iron, iron-fortified foods such as some breakfast cereals, and especially avoid beef, liver, and pork. Just about all foods contain some iron, but those with high amounts of iron (e.g., 18 milligrams of iron per serving-common in many cereals and vitamin-mineral supplements) might be best avoided.
Decreasing consumption of these foods is a good way to reduce iron intake, yet blood donation is the only effective way to remove iron that is already in the body. How fortunate that blood donation may help save the life of both the donor and the receiver.
Conclusion and Summary
Although iron accumulation can affect both men and women, men more often suffer from the harmful effects of excess iron. Iron accumulation increases the risk for cancer, heart attack, and several other diseases. For men, sources of iron such as beef, liver, pork, iron-fortified foods and iron-fortified vitamin-mineral supplements can be avoided. Everyone-men and women-should be tested for iron disorders.8 The only way to measure body iron levels is by visiting a physician and having blood tests performed. If the serum ferritin value is greater than 100 or the transferrin saturation value greater than 35%, then periodic blood donation should be considered as a way to remove excess iron and lower body iron levels. Persons with severe iron overload may need to receive more frequent and comprehensive treatment.
Source: http://www.menweb.org
Penis Enlargement
What Works, What Doesn't?
Because the desire for a bigger penis is both a preoccupation and a source of concern for many men, the penis enlargement 'market' has flourished. So what are the options, what works and what doesn't?
Pills and Potions for Penis Enlargement
There are literally hundreds of adverts and articles on penis enlargement -- your inbox probably suffers as a result. They talk of the amazing, 'unbelievable' results that can be achieved. The only honest word here is 'unbelievable'. Save your money. Nothing currently on the market has a permanent effect on increasing penis size.
Vacuum Devices for Penis Enlargement
Vacuum devices are often recommended for the treatment of impotence. They are also advertised for penis enlargement because the penis does increase in size for a time.
Vacuum pumps are placed over the penis. Air is then drawn from the tube and this creates pressure. As a result, blood is forced rapidly into the penis, as happens in an erection. A ring is then applied temporarily to the base of the penis to stop the blood draining away too quickly. Penis enlargement will only work for around 24 hours.
There can also be side effects. Blood vessels can rupture causing swelling and pain. If you do want to try a vacuum device for erectile problems, or you feel it might be a pleasant sensation, you do need to be aware of the potential dangers and the fact that some devices available are poorly designed.
Penis Exercises
As the penis does not contain any muscles there are no exercises or massage techniques that will enlarge it, (except in the short term)!
Surgery for Penis Enlargement
Surgery offers the only permanent solution for enlargement of the penis. Through surgery, the penis can be visually enlarged, usually by just over an inch. The surgeon will cut the ligaments that hold the penis in its usual position and this allows the penis to descend. Weights, or stretching devices, are then used for a few months to effect a permanent increase in size. The procedure may result in scar tissue, the erection will point down, and the base of the penis will be hairy.
Another surgical technique is known as a dermal implant. Girth and length can be increased by transplanting fat cells from other parts of the body to the penis. As the size of head of the penis cannot be increased the results can be visually rather odd.
Sometimes the distribution of the grafted cells results in clumping and a gives a far from smooth result.
Many Urologists will not perform this type of surgery unless there are good therapeutic reasons.
Cost of Surgical Enlargement of the Penis
Costs for this type of surgery, be it penile lengthening, widening or enhancement, ranges from $4000 to $5000 dollars and up to $17000.
Post Operative Complications and Penis Enlargement
As with any form of surgery there are a number of potential risks both psychological and physical.
Source: http://menshealth.about.com
Because the desire for a bigger penis is both a preoccupation and a source of concern for many men, the penis enlargement 'market' has flourished. So what are the options, what works and what doesn't?
Pills and Potions for Penis Enlargement
There are literally hundreds of adverts and articles on penis enlargement -- your inbox probably suffers as a result. They talk of the amazing, 'unbelievable' results that can be achieved. The only honest word here is 'unbelievable'. Save your money. Nothing currently on the market has a permanent effect on increasing penis size.
Vacuum Devices for Penis Enlargement
Vacuum devices are often recommended for the treatment of impotence. They are also advertised for penis enlargement because the penis does increase in size for a time.
Vacuum pumps are placed over the penis. Air is then drawn from the tube and this creates pressure. As a result, blood is forced rapidly into the penis, as happens in an erection. A ring is then applied temporarily to the base of the penis to stop the blood draining away too quickly. Penis enlargement will only work for around 24 hours.
There can also be side effects. Blood vessels can rupture causing swelling and pain. If you do want to try a vacuum device for erectile problems, or you feel it might be a pleasant sensation, you do need to be aware of the potential dangers and the fact that some devices available are poorly designed.
Penis Exercises
As the penis does not contain any muscles there are no exercises or massage techniques that will enlarge it, (except in the short term)!
Surgery for Penis Enlargement
Surgery offers the only permanent solution for enlargement of the penis. Through surgery, the penis can be visually enlarged, usually by just over an inch. The surgeon will cut the ligaments that hold the penis in its usual position and this allows the penis to descend. Weights, or stretching devices, are then used for a few months to effect a permanent increase in size. The procedure may result in scar tissue, the erection will point down, and the base of the penis will be hairy.
Another surgical technique is known as a dermal implant. Girth and length can be increased by transplanting fat cells from other parts of the body to the penis. As the size of head of the penis cannot be increased the results can be visually rather odd.
Sometimes the distribution of the grafted cells results in clumping and a gives a far from smooth result.
Many Urologists will not perform this type of surgery unless there are good therapeutic reasons.
Cost of Surgical Enlargement of the Penis
Costs for this type of surgery, be it penile lengthening, widening or enhancement, ranges from $4000 to $5000 dollars and up to $17000.
Post Operative Complications and Penis Enlargement
As with any form of surgery there are a number of potential risks both psychological and physical.
- The results of penis enhancement surgery do not satisfy everyone. This is partly because the hope such procedures will cure, or be the answer to a problem, are often not fulfilled.
- Anxiety may detract from the pleasure or fantasy of a bigger penis
- During any surgical technique things can go wrong, albeit, very rarely. These include:
- Post operative infections
- Damage to surrounding tissue and nerves
- Side effects of an anesthesia
Source: http://menshealth.about.com
Friday, January 26, 2007
Impotence: fact and fiction
Historically man has been associated with domination, conquests and power. Amongst the histories of the world, it is the men more than the women who have waged wars, conquered lands and ruled over the world . It was a man who was thought to father children and if a man did not have a child, it was the woman who was blamed.
It is still believed in most societies that a man cannot be impotent. While a woman can still go to a gynecologist, a man could not see a doctor regarding his manhood or he would be a laughing stock of many. Yes, even in the new millennium the word impotence spells the end of the world for many men. Impotence has been shrouded in hushed secrecy, darkened bedrooms and sealed lips and has various myths which veil the truth.
Many people believe that not many men suffer from impotence. Nothing could be further away from the truth. On an average two in every ten men suffer in silence from impotence. Most of them even believe that once you are impotent; there is nothing you can do about it. As a mater of fact only 10 % of the men seek treatment for this condition as most of them are too embarrassed or reluctant to speak to their doctors about their problem.
The truth is with the progress of medical science and medications like impotence , thousands of men are enjoying the bliss of togetherness like never before. Some body told me that impotence signifies a loss of manhood. This is not true. Impotence is actually a symptom which signifies the presence of an underlying physical problem or a side effect of a medication and is easily curable.
Modern technology has answers for impotence and erectile dysfunction in the form of Viagra and other treatments. Today, regardless of age and their physical condition, men are enjoying sexual relationships thanks to pills like Viagra which are so easily available online.
Source: http://www.viagracures.com
It is still believed in most societies that a man cannot be impotent. While a woman can still go to a gynecologist, a man could not see a doctor regarding his manhood or he would be a laughing stock of many. Yes, even in the new millennium the word impotence spells the end of the world for many men. Impotence has been shrouded in hushed secrecy, darkened bedrooms and sealed lips and has various myths which veil the truth.
Many people believe that not many men suffer from impotence. Nothing could be further away from the truth. On an average two in every ten men suffer in silence from impotence. Most of them even believe that once you are impotent; there is nothing you can do about it. As a mater of fact only 10 % of the men seek treatment for this condition as most of them are too embarrassed or reluctant to speak to their doctors about their problem.
The truth is with the progress of medical science and medications like impotence , thousands of men are enjoying the bliss of togetherness like never before. Some body told me that impotence signifies a loss of manhood. This is not true. Impotence is actually a symptom which signifies the presence of an underlying physical problem or a side effect of a medication and is easily curable.
Modern technology has answers for impotence and erectile dysfunction in the form of Viagra and other treatments. Today, regardless of age and their physical condition, men are enjoying sexual relationships thanks to pills like Viagra which are so easily available online.
Source: http://www.viagracures.com
Thursday, January 25, 2007
Hercule Phallus and Early Viagra
Originally, Viagra was a broad term to describe all forms of re-enforcement, but mainly used to provide some support to the tent poles of nomads. High winds such as the Mistral could snap the main support beam of a dwelling in two, and with impunity. The tent and its contents could easily be found scattered around the continent and was as much of an eyesore than it was a pointless loss of life.
Anyway, a clever little man familiar with the intricacies of tent structures, decided to take a masterful stance and arranged various money tails (post rigor mortis ) lengthways along a tent pole, and bound the lot together with shoelaces.
That year, it was the only erect tent north of the equator and he was even instrumental in the construction of the Golden Gate Bridge and the Eiffel Tower. Another project of some fame was implementing wind resilience strategies, to the arm of the Statue of Liberty.
Hercule Phallus and his team of self-promoting goat herders were up late that year.
The Industrial Revolution brought with it, monies to expand any monkey business, and Hercule was given a limitless credit card account. With this money along with some personal consultation fees, he invented, tested and patented “the splint”. Still used today, splints are a God-send to many women bereft of marital support and its implications.
With the advent of plastics, Hercule could see a strong future in more discreet methods of his trade. He invented a product not unlike “car fillers”, which could be applied sparingly or liberally to anything, and after activation by a catalyst, would stiffen instantly.
Gone were the days of unsightly concrete beams, monkey tails, support wires and post-coital sutures!
He deduced that if he could somehow shift the strengthening factors from outside an object, to within it, he could retire to Florida.
He manipulated a few governments into supplying more grant aid and more personnel. Personnel, he impressed on them, would supply better feedback and more accurate results to his experiments than any form of stick, bridge or arm.
Like all revolutionary research, there was some collateral damage, necessary amputations, and disgruntled unions. “The needs of the many, outweigh the needs of the few” (loose Turkish translation) he quipped as he made a complete mess of one mans ears which were previously floppy by nature. “Ears, like Stars, should have a point” (loose translation, again), he said and the jury agreed.
The jury though, could not see the logic in driving nails and screws into other “laboratory rats” but gave him the benefit of the doubt, and a round of applause.
This is not a well-known fact since Hercule Phallus’s experimental records were purged, but he was also commissioned to do something about the rather soft taste of James Bond’s drink, and transformed it into an exceptionally stiff Martini.
Hercule was a far-seeing man with a vision (a side-effect of having eyes) and could see the day when he would own a pharmaceutical company (because he would need it). He went on to marry a soft-spoken girl from Hard Rock, Nevada by the name of “Running Nose” (native Indian). Though one of his marriage vows stated that he would never, ever, experiment on anyone close to him, Running Nose changed her name to “Nasal Trail” and developed a curious but coarse accent.
Hercule Phallus, eventually died of hardened arteries and is missed by his children Tough Stuff, Tungsten Trollop, Diamond Deirdre, Rigid Ricky, Hardened Henry, and his adopted child, Malleable Mary. Nasal Trail resumed her fluid properties with respect to her nose and her larynx.
We all owe this legend. For without his genius, the Statue of Liberty would not be as high, and couldn’t possibly keep a torch, up. The Eiffel Tower would have bent to the North and became an Arch of some sort.
Article Source: http://www.safemeds.com
Anyway, a clever little man familiar with the intricacies of tent structures, decided to take a masterful stance and arranged various money tails (post rigor mortis ) lengthways along a tent pole, and bound the lot together with shoelaces.
That year, it was the only erect tent north of the equator and he was even instrumental in the construction of the Golden Gate Bridge and the Eiffel Tower. Another project of some fame was implementing wind resilience strategies, to the arm of the Statue of Liberty.
Hercule Phallus and his team of self-promoting goat herders were up late that year.
The Industrial Revolution brought with it, monies to expand any monkey business, and Hercule was given a limitless credit card account. With this money along with some personal consultation fees, he invented, tested and patented “the splint”. Still used today, splints are a God-send to many women bereft of marital support and its implications.
With the advent of plastics, Hercule could see a strong future in more discreet methods of his trade. He invented a product not unlike “car fillers”, which could be applied sparingly or liberally to anything, and after activation by a catalyst, would stiffen instantly.
Gone were the days of unsightly concrete beams, monkey tails, support wires and post-coital sutures!
He deduced that if he could somehow shift the strengthening factors from outside an object, to within it, he could retire to Florida.
He manipulated a few governments into supplying more grant aid and more personnel. Personnel, he impressed on them, would supply better feedback and more accurate results to his experiments than any form of stick, bridge or arm.
Like all revolutionary research, there was some collateral damage, necessary amputations, and disgruntled unions. “The needs of the many, outweigh the needs of the few” (loose Turkish translation) he quipped as he made a complete mess of one mans ears which were previously floppy by nature. “Ears, like Stars, should have a point” (loose translation, again), he said and the jury agreed.
The jury though, could not see the logic in driving nails and screws into other “laboratory rats” but gave him the benefit of the doubt, and a round of applause.
This is not a well-known fact since Hercule Phallus’s experimental records were purged, but he was also commissioned to do something about the rather soft taste of James Bond’s drink, and transformed it into an exceptionally stiff Martini.
Hercule was a far-seeing man with a vision (a side-effect of having eyes) and could see the day when he would own a pharmaceutical company (because he would need it). He went on to marry a soft-spoken girl from Hard Rock, Nevada by the name of “Running Nose” (native Indian). Though one of his marriage vows stated that he would never, ever, experiment on anyone close to him, Running Nose changed her name to “Nasal Trail” and developed a curious but coarse accent.
Hercule Phallus, eventually died of hardened arteries and is missed by his children Tough Stuff, Tungsten Trollop, Diamond Deirdre, Rigid Ricky, Hardened Henry, and his adopted child, Malleable Mary. Nasal Trail resumed her fluid properties with respect to her nose and her larynx.
We all owe this legend. For without his genius, the Statue of Liberty would not be as high, and couldn’t possibly keep a torch, up. The Eiffel Tower would have bent to the North and became an Arch of some sort.
Article Source: http://www.safemeds.com
Longer Sex - Viagra
Many of us longingly dream of having longer sexual encounters that will leave us breathless. We see vivid and tempting displays of such pursuits on the television and in movies, read enticing depictions in books, and even hear others speak of long and enjoyable sexual experiences that blew their minds. Why then, aren’t you able to enjoy longer and greater sex?
You can. In fact, many individuals are enjoying much longer sex. Do these lucky individuals have a magic potion? They may have a potion, but it’s not magic and it likely comes in the form of an herbal supplement. By simply trying the available products on the market that are specifically designed to increase male enhancement, millions are enjoying better, longer sex.
While in the past, problems concerning erection quality were a taboo subject that was rarely, if ever, talked about; that is no longer the case in the modern day. More and more men are becoming open to discussing this personal dilemma and are actively and aggressively seeking answers that will allow them to enjoy longer sex and more intense sexual encounters. The result of this increasing desire for a solution has resulted in the incorporation of intensive research of the mysteries of penile erections. Because of the increase in research, products have been developed that have been proven to enhance erection quality and provide millions with longer sex.
There are a number of supplements available on the market that will enable men to increase the size of their erections and the duration of their sexual activities. However, a few of these products go one step further by going beyond the simple goal of increasing one’s erection size. There are actually supplements that not only enable a man to enjoy a much harder erection, but also allow the body to develop more stamina, increased desire, and even reduce the stress and anxiety one can feel when they are concerned about their sexual performance. By combining all of these factors, one can experience a much longer and an extremely intense sexual session.
Unlike Viagra, many of these supplements are natural supplements that can be purchased over the counter. Because of this, men can avoid the embarrassment of discussing the problem with their family doctor as they can order the supplements without a prescription. There are numerous alternatives available that will promote longer sex and as a result, an improved sex life. Men no longer have to dream about having longer sex; many are now experiencing it thanks to the great strides these supplements have made.
Article Source: http://www.macaenhancer.com
You can. In fact, many individuals are enjoying much longer sex. Do these lucky individuals have a magic potion? They may have a potion, but it’s not magic and it likely comes in the form of an herbal supplement. By simply trying the available products on the market that are specifically designed to increase male enhancement, millions are enjoying better, longer sex.
While in the past, problems concerning erection quality were a taboo subject that was rarely, if ever, talked about; that is no longer the case in the modern day. More and more men are becoming open to discussing this personal dilemma and are actively and aggressively seeking answers that will allow them to enjoy longer sex and more intense sexual encounters. The result of this increasing desire for a solution has resulted in the incorporation of intensive research of the mysteries of penile erections. Because of the increase in research, products have been developed that have been proven to enhance erection quality and provide millions with longer sex.
There are a number of supplements available on the market that will enable men to increase the size of their erections and the duration of their sexual activities. However, a few of these products go one step further by going beyond the simple goal of increasing one’s erection size. There are actually supplements that not only enable a man to enjoy a much harder erection, but also allow the body to develop more stamina, increased desire, and even reduce the stress and anxiety one can feel when they are concerned about their sexual performance. By combining all of these factors, one can experience a much longer and an extremely intense sexual session.
Unlike Viagra, many of these supplements are natural supplements that can be purchased over the counter. Because of this, men can avoid the embarrassment of discussing the problem with their family doctor as they can order the supplements without a prescription. There are numerous alternatives available that will promote longer sex and as a result, an improved sex life. Men no longer have to dream about having longer sex; many are now experiencing it thanks to the great strides these supplements have made.
Article Source: http://www.macaenhancer.com
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